Individual
BOAZ Y LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Mailing address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
71474
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
AC000362
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009996
—
WV
05
—
410478100
—
MD
Enumeration date
05/31/2006
Last updated
04/12/2010
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